orthopedics and sports medicine

Assessment of the anterolateral ligament of the knee by magnetic resonance imaging

Purpose The purpose of this study was to describe the anatomy of the anterolateral ligament (ALL) of the knee by the use of 1.5 Tesla (T) magnetic resonance imaging (MRI) in a series of young patients without knee injuries. Methods Subjects aged 18 years or older without an anterior cruciate ligament injury, as confirmed on MRI, were included. MRI examinations were all performed on 1.5 T scans.

Chest pain caused by multiple exostoses of the ribs: A case report and a review of literature

Abstract
The aim of this paper is to report an exceptional case of
multiple internal exostoses of the ribs in a young patient
affected by multiple hereditary exostoses (MHE) coming
to our observation for chest pain as the only symptom
of an intra-thoracic localization. A 16 years old patient
with familiar history of MHE came to our observation
complaining a left-sided chest pain. This pain had increased
in the last months with no correlation to a
traumatic event. The computed tomography (CT) scan

I.S.Mu.L.T. First-time patellar dislocation guidelines

Primary traumatic patellar dislocation is common, particularly in young active individuals. A consensus on its management is still lacking. The present work provides easily accessible guidelines to be considered as recommendations for a good clinical practice developed through a process of systematic review of the literature and expert opinion, to improve the quality of care and rationalize the use of resources. Level of evidence: Ia.

Functional treatment in rotator cuff tears: Is it safe and effective? a retrospective comparison with surgical treatment

Background: The aim of this study was to compare rehabilitation protocol and operative treatment in a population of patients with a diagnosis of small to medium rotator cuff tears (?3 cm), the null hypothesis being that there would been no difference in terms of clinical outcomes and patient’s satisfaction between the rehabilitation protocol and the surgical treatment. Methods: Patients with small to medium supraspinatus tears were retrospectively enrolled in this study and divided in 2 groups: arthroscopic repair (group A, 20 patients) and reinstated (group B, 18 patients).

Anterior cruciate ligament reconstruction is associated with greater tibial tunnel widening when using a bioabsorbable screw compared to an all-inside technique with suspensory fixation

Purpose: To compare clinical outcomes and tunnel widening following anterior cruciate ligament reconstruction (ACLR) performed with an all-inside technique (Group A) or with a bioabsorbable tibial screw and suspensory femoral fixation (Group B). Methods: Tunnel widening was assessed using computed tomography (CT) and a previously validated analytical best fit cylinder technique at approximately 1-year following ACLR. Clinical follow-up comprised evaluation with IKDC, KSS, Tegner, Lysholm scores, and knee laxity assessment.

A challenging case of tumor-induced osteomalacia: pathophysiological and clinical implications

We investigated the usefulness of fibroblast growth factor 23 (FGF23) intraoperative assay to monitor tumor resection in patients with oncogenic osteomalacia. A 33-year-old man with 5 years’ history of lumbar and pelvis pain together with multiple vertebral fractures was admitted to our hospital. He was diagnosed with ankylosing spondylitis 1 year before. Laboratory investigation showed low tubular reabsorption of phosphate (0.41 mmol/L) despite chronic hypophosphatemia (0.39/L). Increased plasma values of FGF23 (673 pg/mL; n.v. < 95 pg/mL) were also observed.

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